1989, 10-04 Permit App: 89003831 Soffit, FasciaSpokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
PARCEL NUMBER:
INFORMATION WORKSHEET
r3 -t5 -q Od
STREET ADDRESS: , =y-%% 3a ti Y f
CITY/STATE/ZIP: S ff K'l, kJ , l l) %4 q90 -a„
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA:
F/A: WIDTH:
DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:
MAILING ADDRESS:: S ' b O (3U (-13 GLC,' !�
PHONE: 5O Y - 9,2
CITY/STATE/ZIP: J9-C/Ccc-ft_P , WA q �l J_D 6
CONTACT: PHONE: - -
SETBACKS: - FRONT:
PERMIT USE:I`
LEFT: RIGHT: REAR:
**********************************************+********************* *******
BUILDING INFORMATION V CcLu Gz / (1 7 �c
CONTRACTOR LICENSE NUMBER: MC dig Y e c 3 rn E
CONTRACTOR: Ai C (1 a t, 63 Y) T'I u( S
PHONE:
MAILING ADDRESS: A , 3/% t r1 td �' f �al�C� wF q g l —
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
41110.
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT: